HOMECONTACT US
Maryland Medicaid Pharmacy Services Office of Operations, Eligibility, and Pharmacy
Contact Information

Charles Sandler
201 W. Preston St.
Baltimore, MD 21201
Phone: 410-767-1460
Business Hours: Monday-Friday 8:30am–4:30pm EST

Preferred Drug List
Coordinated ProDUR
Forms

Preferred Drug List Forms

Specialty Forms

For Submission to ACS:

For Submission to DHMH:

Peer Review Program (Submission to UMB):

Invoices

Pharmacy Compounding

Clotting Factor and High-Cost Drugs

MAC and IDC Information
Specialty Mental Health Formulary
Emergency Procedures
Visit DHMH
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